Clinic
Victoria Pediatrics & Adolescents Assoc.
Victoria Pediatrics & Adolescents Assoc. was paid $610K by Medicaid between Nov 2020 and Dec 2024, across 34 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 20% of everything it billed.
33Billing provider infoVICTORIA PEDIATRICS & ADOLESCENTS ASSOC.
VICTORIA, TX 77901
VICTORIA, TX 77901
33aNPI1033128772assigned 08/05/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$610K
24GClaims34,227
24DCodes billed34
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#26 of 180
Median peer was paid$25K
This provider vs. median24×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,305 | $21K | |
| 2021 | 8,805 | $158K | |
| 2022 | 9,216 | $162K | |
| 2023 | 8,804 | $161K | |
| 2024incomplete | 6,097 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 1,547 | 1,532 | $123K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 1,021 | 1,004 | $87K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 1,138 | 1,114 | $87K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 7,021 | 3,385 | $80K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 4,242 | 3,883 | $64K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 5,171 | 4,669 | $60K |
| 99429 | 5.1% | 849 | 840 | $31K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 490 | 466 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 211 | 208 | $19K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 1,531 | 1,056 | $14K |
| 90461 | 1.3% | 1,987 | 1,738 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,473 | 717 | $6K |
22 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,006 | $3K |
| 97802 | <1% | 377 | $2K | |
| 97803 | <1% | 1,327 | $2K | |
| 87807 | <1% | 280 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 30 | $923.12 |
| 92587 | <1% | 626 | $203.04 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 13 | $132.95 |
| 90686 | <1% | 1,230 | $60.45 | |
| 90651 | 0% | 27 | $0.00 | |
| 90647 | 0% | 444 | $0.00 | |
| 90723 | 0% | 373 | $0.00 | |
| 90677 | 0% | 67 | $0.00 | |
| 96127 | 0% | 46 | $0.00 | |
| 90697 | 0% | 133 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90633 | 0% | 387 | $0.00 | |
| 90670 | 0% | 812 | $0.00 | |
| 90681 | 0% | 282 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90715 | 0% | 25 | $0.00 | |
| 90700 | 0% | 24 | $0.00 | |
| 90734 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialREGUEIRA, FELIX (PRESIDENT)